Samantha Marie Winzenread, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MPA.4188 Issued in SC

Practice address

11 Five Fork Plaza CT Unit a
Simpsonville, SC 29681-5460

Phone

(864) 627-0444

Fax

(864) 627-0555

NPI assigned

Nov 1, 2021

Last updated

May 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oakview Medical Associates LLC

  • Adult Medicine Physician
  • Simpsonville, SC
  • NPI 1104086818
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1659036119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FIVE FORK PLAZA CT STE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815460",
            "telephone_number": "864-627-0444",
            "fax_number": "864-627-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FIVE FORK PLAZA CT UNIT A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296815460",
            "telephone_number": "864-627-0444",
            "fax_number": "864-627-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINZENREAD",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-05-02",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA.4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallencia Vada Williams, PHARMD
• Crystal Michele Wilson
• Ellen Jett Wilson, RPH, PHD
• Robin A. Wilson, D.O.
• Megan Novia Wingo, OTR/L
• Stephanie Wirthlin
• Arianna Lee Wise, BCBA
• Benjamin Franklin Wofford Jr., RPH
• Womens Healthcare, Inc
• Rebecca Woodlief

• Physician Assistant in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.